Felty's syndrome, left wrist
ICD-10 M05.032 is a billable code used to indicate a diagnosis of felty's syndrome, left wrist.
Felty's syndrome is a rare complication of rheumatoid arthritis characterized by the triad of rheumatoid arthritis, splenomegaly, and neutropenia. In the context of the left wrist, this condition may lead to significant joint inflammation, pain, and deformity. Anatomically, the left wrist comprises the distal radius and ulna, carpal bones, and the metacarpals, all of which can be affected by the inflammatory processes associated with Felty's syndrome. Clinically, patients may present with swelling, tenderness, and reduced range of motion in the left wrist, impacting daily activities. The pathophysiology involves autoimmune mechanisms leading to synovial inflammation, which can result in joint erosion and systemic complications. Early recognition and management are crucial to prevent further joint damage and improve functional outcomes.
Orthopedic documentation should include imaging studies (X-rays, MRIs) to assess joint damage and functional assessments to evaluate range of motion and strength.
Patients may require surgical intervention for severe joint deformities or instability due to Felty's syndrome.
Documentation must detail the specific joints affected and the extent of any deformities or functional limitations.
Rheumatologic documentation should include laboratory tests for inflammatory markers (e.g., ESR, CRP) and assessments of disease activity (e.g., DAS28).
Patients may present with exacerbations of rheumatoid arthritis symptoms, necessitating adjustments in therapy.
Systemic involvement, such as splenomegaly and neutropenia, must be documented to support the diagnosis.
Functional assessments should evaluate the patient's ability to perform activities of daily living and any rehabilitation needs.
Patients may require physical therapy to improve mobility and strength in the affected wrist.
Documentation should address any assistive devices used and the patient's overall functional status.
Used for follow-up visits to manage Felty's syndrome and assess treatment efficacy.
Documentation must include a review of systems, physical exam findings, and treatment plan.
Rheumatology and primary care considerations for comprehensive management.
Key symptoms include joint pain and swelling, particularly in the wrists and hands, splenomegaly, and recurrent infections due to neutropenia. Patients may also experience fatigue and systemic symptoms related to rheumatoid arthritis.
